IMR Press / CEOG / Volume 46 / Issue 2 / DOI: 10.12891/ceog4503.2019

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Hemoperitoneum from ruptured vein overlying a uterine myoma: a case report and review of the literature
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1 Department of Obstetrics and Gynecology, Faculty of Medicine, Shimane University, Izumo, Shimane, Japan
*Correspondence: (A. ORIDE)
Clin. Exp. Obstet. Gynecol. 2019, 46(2), 337–339;
Published: 10 April 2019

Uterine myomas are very common tumors in women, but there are few reports of cases causing hemoperitoneum. Here, the authors report a case of a ruptured vein overlying a uterine myoma due to trauma. A 28-year-old nulliparous woman with a history of uterine myomas came to the emergency department with acute lower abdominal pain after falling on her hip while snowboarding. Ultrasound and contrast-enhanced computed tomography revealed multiple myomas and free fluid in the pelvic cavity. Her vital signs became unstable and an emergency laparotomy was performed. There was massive hemorrhage into the abdominal cavity and venous rupture over the site of a subserosal myoma. Following myomectomy, the bleeding stopped and her vital signs gradually became stable. Rupture of a vein overlying a uterine myoma is rare; however, intra-abdominal bleeding should be considered in women with a history of large fibroid presenting with shock and circulatory collapse with or without a history of trauma.

Intraperitoneal hemorrhage
Ruptured uterine leiomyoma
Figure 1.
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